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Digestive Malignancy with Major Complications

California rates for MS-DRG 374

Digestive Malignancy with MCC

Rates data updated July 2026.

How much does Digestive Malignancy with Major Complications cost?

$53,703

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $53,703 for this service. Most negotiated rates run $40,738 to $77,625.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $53,703 · 10th to 90th $28,184 to $89,125
$200$1K$5K$20K$100Kfacility $53,703

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$50,118.72
Typical High
$91,201.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$53,703.18
Typical High
$89,125.09
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$38,018.94
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$43,651.58
Typical High
$75,857.76
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$77,624.71
Typical High
$77,624.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$46,773.51
Typical High
$85,113.80
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$38,018.94
Typical High
$83,176.38

Where California sits

The same service costs 4.2 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 4th of 51

$53,703

MT $72,444NM $17,378

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.